This version of the form is not currently in use and is provided for reference only. Download this version of Form 51-113 for the current year.
This is a legal form that was released by the County Government - Orange County, Florida - a government authority operating within Florida. The form may be used strictly within Orange County. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 51-113?
A: Form 51-113 is the Health Savings Account Election Form.
Q: Who needs to fill out Form 51-113?
A: Residents of Orange County, Florida who wish to elect a Health Savings Account (HSA) need to fill out this form.
Q: What is a Health Savings Account (HSA)?
A: A Health Savings Account (HSA) is a tax-advantaged savings account that can be used to pay for medical expenses.
Q: What information is required on Form 51-113?
A: Form 51-113 requires personal information, employer information, and HSA contribution amount.
Q: Is Form 51-113 specific to Orange County, Florida?
A: Yes, Form 51-113 is specific to residents of Orange County, Florida.
Q: Can I use Form 51-113 for other purposes?
A: No, Form 51-113 is specifically for electing a Health Savings Account (HSA) and is not meant for other purposes.
Q: Are there any fees associated with Form 51-113?
A: There may be fees associated with opening and maintaining a Health Savings Account (HSA), but not with the form itself.
Form Details:
Download a fillable version of Form 51-113 by clicking the link below or browse more documents and templates provided by the County Government - Orange County, Florida.